title: Erectile function and late-onset hypogonadism symptoms related to lower urinary tract symptom severity in elderly men.
abstract: The aim of this study was to evaluate the relationship between lower urinary tract symptoms (LUTSs), erectile dysfunction (ED) and symptomatic late-onset hypogonadism (SLOH) in ageing men in the Aegean region of Turkey. Five hundred consecutive patients >40 years old who had been in a steady sexual relationship for the past 6 months and were admitted to one of six urology clinics were included in the study. Serum prostate-specific antigen and testosterone levels and urinary flow rates were measured. All patients filled out the International Prostate Symptom Score and Quality of Life (IPSS-QoL), International Index of Erectile Function (IIEF) and Aging Males' Symptoms (AMS) scale forms. Of the patients, 23.9% had mild LUTSs, 53.3% had moderate LUTSs and 22.8% had severe LUTSs. The total testosterone level did not differ between groups. Additionally, 69.6% had ED. The presence of impotence increased with increasing LUTS severity. Symptomatic late-onset hypogonadism (AMS >27) was observed in 71.2% of the patients. The prevalence of severe hypogonadism symptoms increased with the IPSS scores. A correlation analysis revealed that all three questionnaire scores were significantly correlated. In conclusion, LUTS severity is an age-independent risk factor for ED and SLOH. LUTS severity and SLOH symptoms appear to have a strong link that requires etiological and biological clarification in future studies.
authors.affiliation: Department of Urology, Dokuz Eylul University, Faculty of Medicine, Izmir 35340, Turkey.
authors.forename: Ozan
authors.initials: O
authors.lastname: Bozkurt
authors.forename: Deniz
authors.initials: D
authors.lastname: Bolat
authors.forename: Omer
authors.initials: O
authors.lastname: Demir
authors.forename: Oktay
authors.initials: O
authors.lastname: Ucer
authors.forename: Ali
authors.initials: A
authors.lastname: Sahin
authors.forename: Burak
authors.initials: B
authors.lastname: Ozcift
authors.forename: Abdulkadir
authors.initials: A
authors.lastname: Pektaş
authors.forename: Tahir
authors.initials: T
authors.lastname: Turan
authors.forename: Bilal H
authors.initials: BH
authors.lastname: Gümüş
authors.forename: Ertan
authors.initials: E
authors.lastname: Can
authors.forename: Ahmet
authors.initials: A
authors.lastname: Bolukbasi
authors.forename: Haluk
authors.initials: H
authors.lastname: Erol
authors.forename: Adil
authors.initials: A
authors.lastname: Esen
mesh_terms: D017668:Age of Onset; D000368:Aged; D007172:Erectile Dysfunction; D006801:Humans; D007006:Hypogonadism / Q000503:physiopathology*; D008297:Male; D012720:Severity of Illness Index; D014551:Urinary Tract / Q000503:physiopathology*